Organization Active NPI

Katie M Wyss LMSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ann Arbor, MI
National Provider Identifier
1558978593
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KATIE M WYSS LMSW, LLC
Practice address
218 N 4TH Ave Ste 207
Ann Arbor, MI 48104-1472
Phone
(734) 926-9189
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katie Millis Wyss, LMSWNPI 1437593324
Title
Owner
Phone
(734) 926-9189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

218 N 4TH Ave Ste 207
Ann Arbor, MI 48104-1472

Mailing address

428 Shiloh Drive
Chelsea, MI 48118
Phone (734) 926-9189

Other practice location 1

428 Shiloh Drive
Chelsea, MI 48118
Phone (734) 926-9189

National Provider Directory

National Provider Directory

Locations

218 N 4th Ave
Ste 207
Ann Arbor, MI 48104
Phone (734) 926-9139

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1558978593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 SHILOH DRIVE",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "48118",
            "telephone_number": "734-926-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N 4TH AVE STE 207",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041472",
            "telephone_number": "734-926-9189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 Shiloh Drive",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "48118",
            "country_code": "US",
            "telephone_number": "734-926-9189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATIE M WYSS LMSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "WYSS",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "MILLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-926-9189",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.